Organization Active NPI

Green Ridge Healthcare Group, LLC

Doing business as Green Ridge Care Center

  • Skilled Nursing Facility
  • Scranton, PA
National Provider Identifier
1194015784
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREEN RIDGE HEALTHCARE GROUP, LLC
Doing business as
Green Ridge Care Center
Practice address
2741 Boulevard Ave
Scranton, PA 18509-1000
Phone
(570) 344-6121
Fax
(570) 344-5171
NPI assigned
Apr 15, 2011
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William I Weisberg
Title
President
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2741 Boulevard Ave
Scranton, PA 18509-1000

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
1026046300001MedicaidPA

Other names 1

  • Green Ridge Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110624000234 PA Part A Provider - Skilled Nursing Facility 8224216163 Practice locations: Scranton, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194015784. Details of each certification follow.

Skilled nursing facility certification: CCN 395067

Legal name
GREEN RIDGE HEALTHCARE GROUP, LLC
Doing business as
GREEN RIDGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 21, 1972
Last certification
Jan 31, 2025
Beds
95
Ownership / control type
Corporation
Multi-facility organization
Saber Healthcare Group
Organization structure
LLCProprietary
Enrollment address
2741 Boulevard Avenue
Green Ridge Care Center
Scranton, PA 18509-1000
Nursing home name
GREEN RIDGE CARE CENTER
Affiliated entity
SABER HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Green Ridge Care CenterCCN 395067 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 21, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9586.0 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain
Penalties (3 years)
1Fines totaling $8,018

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2023 100%
Scranton Health Investors Organization, Toledo, OH LLC Adp of the SNF Aug 1, 2015
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Bundle Tenant LLC Organization, Beachwood, OH LLC Adp of the SNF Dec 10, 2025
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC Adp of the SNF Sep 1, 2019
Kevin K Musto Individual Adp of the SNF Jun 1, 2023
BNV Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
Saber PA Holdings, LLC Organization, Beachwood, OH LLC 5% Or Greater Direct Ownership Interest Dec 31, 2023 100%
Gary Malia Individual Operational/Managerial Control Apr 25, 2024
Adp of the SNF Apr 25, 2024
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Jul 1, 2011
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019 50%
The Huntington National Bank Organization, Columbus, OH Corporation Adp of the SNF Jul 19, 2019
RKL LLP Organization, Lancaster, PA Adp of the SNF Jan 26, 2023
Lori Sakalas Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1194015784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225827",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 BOULEVARD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091000",
            "telephone_number": "570-344-6121",
            "fax_number": "570-344-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIDGE HEALTHCARE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2011-04-15",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026046300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Ridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Ridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.